| Titre : | Primary Care safety-net delivery sites in the United States : A comparison of Community Health centers, Hospital outpatient departments, and physicians'offices. (2000) |
| Auteurs : | Christopher-B FORREST ; Ellen-Marie WHELAN ; The Primary Care Policy Center for the Underserved. Department of Health Policy and Management. Johns Hopkins School of Public Health. Baltimore. MD. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 284, n° 16, 2000) |
| Pagination : | 2077-2083 |
| Langues: | Anglais |
| Mots-clés : | Soins santé primaire ; Sécurité ; Etats Unis ; Amérique ; Centre santé ; Hôpital ; Cabinet médical ; Etude comparée ; Thérapeutique ; Homme ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST R0xo76OA. Diffusion soumise à autorisation]. Context The US primary care safety net is composed of a loose network of community health centers, hospital outpatient departments, and physicians'offices. National data on how the mix of patients and services differ across sites are needed. Objective To develop and contrast national profiles of patient and service mix for primary care. Design, Setting, and Patients Comparative analyses of 3 national surveys of primary care visits occurring in 1994 : for data on physician's office visits, the National Ambulatory Medical Care Survey (NAMCS) ; for hospital outpatient department data, the National Hospital Ambulatory Medical Care Survery (NHAMCS) ; and for data on community health centers, the Bureau of Primary Health Care's 1994 Survey of Visits to Community Health Centers. A time trend analysis also was conducted using the 1998 NAMCS and NHAMCS. Main Outcome Measures National estimates of primary care visit rates, types of patient presentation, patient case-mix, disposition of patients, and management interventions in 1994, and compared with 1998 data. Results The US population made 1.3 primary care visits per person in 1994, which accounted for 43.5% of all ambulatory visits to physicians'offices, community health centers, and hospital outpatient departments. Primary care visits per person were 20% lower for Hispanics and 33% lower for black, non-Hispanic persons compared with white, non-Hispanic persons. (...) |
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